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Flat P waves, prolonged PR intervals, widened QRS complexes and tall peaked T waves.
Hyperkalemia
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inverted T waves, ST segment depression and prominent U waves.
Hypokalemia
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sodium, potassium, calcium, magnesium
cations
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chloride, bicarbinate, phosphate, sulfate, organic acids, proteinate
anions
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pressure exerted by fluid on the walls of the blood vessel
hydrostatic pressure
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natural tenency of a substance to move from an area of higher concentration to one of lower concentration. Random movements of ions and molecules.
diffusion
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solution with osmolality higher than that of serum
hypertonic solution
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solution with an osmolality lower than that of serum
hypotonic solution
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solution with same osmolality as serum and other body fluids.
isotonic solution.
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loss of ECF volume exceeds the intake of fluid. Water and electrolytes lost in same proportion as they exist in normal body fluids.
hypovolemia/fluid volume deficit
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caused by abdominal fluid losses ie N/V/D, GI suctioning, sweating, decreased intake, inability to gain access to fluids
Hypovolemia/ fluid volume deficit
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acute weight loss, decreased skin turgor, oliguria, concentrated urine, postural hypotension, a weak/rapid heart rate, flattened neck veins, decreased central venous pressure, clammy skin, thirst, increased temp, cramps
hypovolemia
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occurs with GI and renal losses
hypokalemia
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occurs with adrenal insufficiency
hyperkalemia
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occurs with increased thirst and ADH release
hyponatremia
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results from increased insensible losses and diabetes insipidus
hypernatremia
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Vital signs: Hypothermia, tachycardia, thready pulse, hypotension,orthostatic hypotension. Neuromusculoskeletal: Headache, confusion, lethargy, muscle weakness to the point of possible respiratory compromise, fatigue, decreased deepmuscle reflexes (DTR)GI: Increased motility, hyperactive bowel sounds, abdominal cramping,nausea
Hyponatremia
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seizure precautions
hypo/hypernatremia
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Compensatory mechanisms include increased thirst and increased production ofADH.
hypernatremia
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-Vital signs: Hyperthermia, tachycardia, orthostatic hypotension
-Neuromusculoskeletal: Restlessness, irritability, muscle twitching to thepoint of muscle weakness including respiratory compromise, increased deepmuscle reflexes (DTR) to the point of absent DTRs, seizures, coma
-GI: Thirst, dry mucous membranes, increased motility, hyperactive bowelsounds, abdominal cramping, nausea
-Other signs: Edema, warm flushed skin, oliguria
hypernatremia
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2 drug groups that contain magnesium and could cause hypermagnesemia are?
laxatives and antacids
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sodium promotes ____ loss
calcium: so calcium shouldnt be diluted in normal saline solution.
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S/S: flabby muscles, pain over bony areas and kidney stones
hypercalcemia
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solution contains calcium and potassium in addition to sodium chloride. Used to correct dehydration and sodium depletion and replace GI Losses
Lactated Ringers
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